Effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing: A hospital based prospective cohort study in Dar es Salaam, Tanzania

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dc.contributor.authorAbraham, Zephania S
dc.contributor.authorKahinga, Aveline A
dc.contributor.authorMapondella, Kassim B
dc.contributor.authorMassawe, Enica R
dc.contributor.authorNtunaguzi, Daudi
dc.contributor.authorLengine, ,Emmanuel Ole
dc.date.accessioned2020-11-24T10:23:02Z
dc.date.available2020-11-24T10:23:02Z
dc.date.issued2020
dc.descriptionFull text article. Also available at http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195707en_US
dc.description.abstractBackground: Adenotonsillar hypertrophy remains to be the commonest causes of sleep disordered breathing in paediatric patients and has been implicated as a cause of primary and secondary enuresis. The aim of this study was to determine the effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing. Methods: A hospital based prospective cohort study was conducted at Ekenywa Specialised Hospital in Dar es Salaam, from May 2018 to February 2019. Two hundred children aged 3 to 15 years with obstructive adenotonsillar hypertrophy who were admitted ready to undergo adenotonsillectomy were evaluated. Upon such evaluation, the primary outcome was the number of bedwetting incidents (nocturnal enuresis) post-operatively compared with pre-operative incidents. Patients were kept under follow-up for 3 months. Data were collected using structured questionnaires regarding number of bedwetting incidents, type of enuresis (primary or secondary) and family history of enuresis. Data was analyzed using SPSS version 21 and p-values <0.05 were considered to be statistically significant. Results: Of 200 children admitted for adenotonsillectomy, 80 (40%) had a positive history of preoperative enuresis, including 35 (43.8%) girls and 45 (56.2%) boys. All parents for the children consented to participate in the study. Three months after adenotonsillectomy, enuresis had resolved completely in 50 (62.5%) children and had shown relative improvement in 25 (31.3%) children. Enuresis had not improved in the remaining 5 (6.3%) children (p<0.05). Conclusions: Findings from this study indicates that adenotonsillectomy can improve nocturnal enuresis and day-time incontinence in the majority of children with adenotonsillar hypertrophy.en_US
dc.identifier.citationAbraham, Z. S., Kahinga, A. A., Mapondella, K. B., Massawe, E. R., Lengine, E. O., & Ntunaguzi, D. (2020). Effectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing: A hospital based prospective cohort study in Dar es Salaam, Tanzania. International Journal of Otorhinolaryngology and Head and Neck Surgery, 6(1), 155-158.en_US
dc.identifier.otherDOI:10.18203/issn.2454-5929.ijohns20195707
dc.identifier.urihttp://hdl.handle.net/20.500.12661/2531
dc.language.isoenen_US
dc.publisherScientific Research Publishingen_US
dc.subjectAdenotonsillectomyen_US
dc.subjectEnuresisen_US
dc.subjectSleep-disordered breathingen_US
dc.subjectAdenotonsillar hypertrophyen_US
dc.subjectChildrenen_US
dc.subjectNocturnal enuresisen_US
dc.subjectSleep disorderen_US
dc.titleEffectiveness of adenotonsillectomy in resolution of enuresis in children with sleep-disordered breathing: A hospital based prospective cohort study in Dar es Salaam, Tanzaniaen_US
dc.typeArticleen_US
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